ATI Concept-Based Assessment Level 3
Practice A with correct answers(100%)
1. A nurse is providing family planning education for a client who wishes to
conceive. The client brings her calendar to the appointment with her days of
menses circled. The nurse should identify that ovulation is expected to occur on
which of the following calendar dates?: Ovulation occurs 13-15 days after day one
of menses.
2. A nurse in an acute care mental health facility is planning care for a client
who has bipolar disorder and who is experiencing acute mania. Which of the
following actions should the nurse plan to take?: Provide the client with finger
foods to eat.
3. A nurse is caring for an infant who has Tetralogy of Fallot. The nurse notes
that the infant exhibits a sudden onset of cyanosis and is hyperpneic. Which of
the following actions should the nurse take?: Place the infant in a knee-chest
position.
4. A nurse is providing discharge teaching to a client following gastric bypass
surgery for management of obesity. Which of the following client statements
indicates an understanding of the teaching?: "I will remain in a reclining position
for 30 minutes after I eat."
5. A nurse is teaching a client who has genital herpes simplex virus. Which of
the following statements should the nurse include in the teaching about this
sexually transmitted infection?: "You should cleanse the lesions with a saline
solution twice each day."
6. A nurse is caring for a client who has a terminal illness and is approaching
death. Which of the following actions should the nurse take?: Apply a thin
coating of lip balm to the client's lips.
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, 7. A nurse in an emergency department is assessing a client who was in a
motor-vehicle crash. The client has a blood alcohol concentration of 0.18% and
states, "I would never drink and drive." The nurse should identify that the client
is demonstrating use of which of the following defense mechanisms?: Denial 8.
A nurse is caring for a newly-admitted client who is at 37 weeks gestation and is
experiencing moderate placental abruption. Which of the following actions
should the nurse take?: Insert a large-bore IV catheter.
The nurse should insert a 16- to 18-gauge IV catheter into the client's brachial artery
because fluid volume and blood replacement might be necessary to correct defects
in coagulation.
9. A nurse is planning care for a client who has a benign chondroma of the
tibia. Which of the following interventions should the nurse plan to include?:
Palpate for changes in the muscle of the affected extremity.
The nurse should palpate the muscle of the affected extremity to monitor for
changes such as muscle spasm, atrophy, or swelling. These manifestations indicate
enlargement of the tumor
10. A nurse is caring for a client who is experiencing hypovolemic shock due
to postpartum hemorrhage. After notifying the provider, which of the following
actions should the nurse take next?: Massage the client's fundus.
The greatest risk to the client is hemorrhage. Therefore, the next action the nurse
should take is to massage the client's fundus to expel clots and promote
contractions.
11. An intensive care nurse is providing education about organ and tissue
donation to the parent of an adolescent who has died following a motor-vehicle
crash. Which of the following responses by the parent indicates an
understanding of the teaching?: "No one will notice the organs were donated if
we have an open casket at the funeral."
12. A nurse in an emergency department is creating a plan of care for a client
who reports a recent sexual assault. Which of the following interventions
should the nurse plan to include?: Explain to the client the reason each procedure
is conducted.
13. A community health nurse is assessing an older adult client. Which of the
following situations should the nurse identify as a possible indication of undue
influence?: The client's niece moves into her home to provide care.
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Practice A with correct answers(100%)
1. A nurse is providing family planning education for a client who wishes to
conceive. The client brings her calendar to the appointment with her days of
menses circled. The nurse should identify that ovulation is expected to occur on
which of the following calendar dates?: Ovulation occurs 13-15 days after day one
of menses.
2. A nurse in an acute care mental health facility is planning care for a client
who has bipolar disorder and who is experiencing acute mania. Which of the
following actions should the nurse plan to take?: Provide the client with finger
foods to eat.
3. A nurse is caring for an infant who has Tetralogy of Fallot. The nurse notes
that the infant exhibits a sudden onset of cyanosis and is hyperpneic. Which of
the following actions should the nurse take?: Place the infant in a knee-chest
position.
4. A nurse is providing discharge teaching to a client following gastric bypass
surgery for management of obesity. Which of the following client statements
indicates an understanding of the teaching?: "I will remain in a reclining position
for 30 minutes after I eat."
5. A nurse is teaching a client who has genital herpes simplex virus. Which of
the following statements should the nurse include in the teaching about this
sexually transmitted infection?: "You should cleanse the lesions with a saline
solution twice each day."
6. A nurse is caring for a client who has a terminal illness and is approaching
death. Which of the following actions should the nurse take?: Apply a thin
coating of lip balm to the client's lips.
1/6
, 7. A nurse in an emergency department is assessing a client who was in a
motor-vehicle crash. The client has a blood alcohol concentration of 0.18% and
states, "I would never drink and drive." The nurse should identify that the client
is demonstrating use of which of the following defense mechanisms?: Denial 8.
A nurse is caring for a newly-admitted client who is at 37 weeks gestation and is
experiencing moderate placental abruption. Which of the following actions
should the nurse take?: Insert a large-bore IV catheter.
The nurse should insert a 16- to 18-gauge IV catheter into the client's brachial artery
because fluid volume and blood replacement might be necessary to correct defects
in coagulation.
9. A nurse is planning care for a client who has a benign chondroma of the
tibia. Which of the following interventions should the nurse plan to include?:
Palpate for changes in the muscle of the affected extremity.
The nurse should palpate the muscle of the affected extremity to monitor for
changes such as muscle spasm, atrophy, or swelling. These manifestations indicate
enlargement of the tumor
10. A nurse is caring for a client who is experiencing hypovolemic shock due
to postpartum hemorrhage. After notifying the provider, which of the following
actions should the nurse take next?: Massage the client's fundus.
The greatest risk to the client is hemorrhage. Therefore, the next action the nurse
should take is to massage the client's fundus to expel clots and promote
contractions.
11. An intensive care nurse is providing education about organ and tissue
donation to the parent of an adolescent who has died following a motor-vehicle
crash. Which of the following responses by the parent indicates an
understanding of the teaching?: "No one will notice the organs were donated if
we have an open casket at the funeral."
12. A nurse in an emergency department is creating a plan of care for a client
who reports a recent sexual assault. Which of the following interventions
should the nurse plan to include?: Explain to the client the reason each procedure
is conducted.
13. A community health nurse is assessing an older adult client. Which of the
following situations should the nurse identify as a possible indication of undue
influence?: The client's niece moves into her home to provide care.
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